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NPI Code Detail

MEDICARE: SEAN SCHOMP CADC

MEDICARE: SEAN SCHOMP CADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor278649KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1407632OTHERKYKENTUCKY BOARD OF DRUG COUNSELORS

General Provider Information

NPI Number : 1710540273
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN SCHOMP CADC
Provider Business Mailing Address
First Line : 635 MAXWELTON CT
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-4012
Country : US
Telephone Number : 859-252-1939
Fax Number :
Provider Business Practice Location Address
First Line : 635 MAXWELTON CT
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-4012
Country : US
Telephone Number : 859-252-1939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2019
Last Update Date : 07/11/2023

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